TABLE 1.

VIONE Mnemonic

	Descriptions	Suggested Actions	Examples
V	Vital, life sustaining	Continue; monitor dosage, frequency, and adjust accordingly	Insulin for diabetes mellitus
I	Important for quality of life, although not life sustaining	Continue/consolidate medication; use the prescription with the least adverse effects and most cost-effective	Pain medication; stool softener
O	Optional	Weigh benefits vs risks of medication; seriously consider reducing or stopping	Diabetes mellitus test strips and insulin for actively dying patient
N	Not indicated/treatment complete	STOP the medication; monitor the outcome after stopping medication	Patient at advanced age on statin; antibiotics after treatment completed
E	Every medication has an indication	Reassess or justify need for medication; stop, reduce or change	Omeprazole but heartburn managed with diet and/or lifestyle changes